**OVERVIEW**
What are Strefen Honey & Lemon Lozenges 16 Pack?
The active ingredient (which makes Strefen Honey and Lemon work) is
Flurbiprofen
. It belongs to a group of medicines known as non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs provide relief by changing the body’s response to pain, swelling, and high temperature. Strefen Honey and Lemon lozenges are used for the short-term relief of symptoms of sore throat such as throat pain and soreness in adults and children over the age of 12 years.

**USAGE**

**HOW TO USE STREFEN HONEY & LEMON LOZENGES 16 PACK**
Always use this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Adults, the elderly and children aged 12 years and older:
Take one lozenge by mouth and suck slowly.
Always move the lozenge around whilst sucking.
The lozenges should start to work within 30 minutes.
Then take one lozenge every 3-6 hours, if needed.
Do not take more than 5 lozenges in a 24 hour period.
Do not give to children under 12 years.
These lozenges are for short-term use only. The lowest effective dose should be used for the shortest duration necessary to relieve symptoms. If you have an infection, consult a doctor or pharmacist without delay if symptoms (such as fever and pain) persist or worsen. If mouth irritation occurs,
Flurbiprofen
treatment should be withdrawn.
Do not take for longer than 3 days unless your doctor tells you to
. If symptoms persist or the pain worsens, or if any new symptoms occur, consult your doctor or pharmacist.
If you take more Strefen Honey and Lemon than you should,
you may feel drowsy or nauseous. You should seek immediate medical advice in the event of an overdose, even if you feel well.
If you forget to take Strefen Honey and Lemon.
If you forget to take this product, do not ‘double dose’ to make up for a forgotten dose.

**WARNINGS**

**PRECAUTIONS TO CONSIDER BEFORE USING STREFEN HONEY & LEMON LOZENGES 16 PACK**
Do not take Strefen Honey and Lemon if you:
Are allergic (hypersensitive) to Flurbiprofen or to any of the other

ingredients of this medicine.
Currently have (or have had two or more episodes of) a stomach ulcer, intestinal ulcers, or gastrointestinal bleeding.
Have ever had asthma, unexpected wheezing or shortness of breath, a runny nose, facial swelling or itchy rash (hives) after taking aspirin or any other NSAID medicine.
Have had gastrointestinal bleeding or perforation, severe colitis (inflammation of the bowel) or bleeding disorders when taking NSAID medicines in the past.
Are taking high dose aspirin (more than 75mg of aspirin per day) or another NSAID medicine (such as celecoxib, ibuprofen, diclofenac sodium etc).
Have severe heart failure, severe kidney failure or severe liver failure.
Are in the last 3 months of pregnancy.
Talk to your doctor or pharmacist before taking Strefen Honey and Lemon if you:
Have or have had asthma or suer from allergies.
Have tonsillitis (inflamed tonsils) or think you may have a bacterial throat infection (as you may need antibiotics).
Have heart, kidney or liver problems.
Have an infection.
Have had a stroke.
Have a history of bowel disease (such as ulcerative colitis, Crohn’s disease).
Suer from chronic autoimmune disease such as systemic lupus erythematosus and mixed connective tissue disease.
Are elderly, as you are more likely to experience the side effects listed in this leaflet.
Are in the last 6 months of pregnancy or breast-feeding.
Other medicines and Strefen Honey and Lemon
Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicine. In particular, tell them if you are taking:
Low dose aspirin (up to 75 mg daily).
Medicines for high blood pressure or heart failure (antihypertensives, cardiac glycosides).
Water tablets (diuretics, including potassium sparing drugs).
Medicines for thinning the blood (anticoagulants, antiplatelet agents).
Medicines for gout (probenecid, sulnpyrazone).
Other NSAID medicines or corticosteroids (such as celecoxib, ibuprofen, diclofenac sodium or prednisolone).
Mifepristone (a medicine used for pregnancy termination).
Quinolone antibiotics (such as ciprofloxacin).
Cyclosporine or tacrolimus (to suppress the immune system).
Phenytoin (to treat epilepsy).
Methotrexate (to treat autoimmune diseases or cancer).
Lithium or SSRIs (for depression).
Oral antidiabetics (to treat diabetes).
Zidovudine (to treat HIV).
Taking Strefen Honey and Lemon with food, drink and alcohol.
Alcohol should be avoided during treatment with Strefen Honey and Lemon lozenges as it increases the risk of bleeding in the stomach or intestines.
Strefen Honey and Lemon contains
Liquid Glucose 1069mg and Liquid Sucrose 1407mg per lozenge. This should be taken into account in patients with diabetes mellitus. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
This medicine contains only very low levels of gluten (from wheat starch), present in liquid glucose. It is regarded as ‘gluten-free’ and is very unlikely to cause problems if you have coeliac disease. One lozenge contains no more than 21. 38 micrograms of gluten. If you have a wheat allergy (different from coeliac disease) you should not take this medicine.
This medicine contains sulphites – Sulphur Dioxide (E220) (present in liquid glucose), which may rarely cause severe hypersensitivity reactions and bronchospasm.
This medicine contains fragrance with Citral, Citronellol, d-Limonene, Farnesol, Geraniol and Linalool which may cause allergic reactions.
This medicine contains Butylated Hydroxyanisole (E320) (present in lemon favour (0-1%)). May cause local skin reactions (e. g. contact dermatitis), or irritation to the eyes and mucous membranes.
Pregnancy, breast-feeding and fertility
Do not take this medicine if you are in the last 3 months of pregnancy. If you are in the last 6 months of pregnancy or are breast-feeding, speak to your doctor before taking these lozenges. .
Flurbiprofen belongs to a group of medicines which may impair fertility in women. This effect is reversible on stopping the medicine.
It is unlikely that the lozenges, used occasionally, will affect your chances of becoming pregnant; however, tell your doctor before taking this medicine if you have problems becoming pregnant.
Infections
Non-steroidal anti-inflammatory drugs (NSAIDs) may hide signs of infections such as fever and pain. This may delay appropriate treatment of infection, which may lead to an increased risk of complications. If you take this medicine while you have an infection and your symptoms of the infection persist or worsen, consult a doctor or pharmacist without delay.
Driving and using machines
No studies on the effects on the ability to drive and use of machines have been performed. However, dizziness and visual disturbances are possible side effects after taking NSAIDs. If affected, do not drive or operate machinery.